Anal fistulas secondary to which disease?

Written by Chen Tian Jing
Colorectal Surgery
Updated on November 06, 2024
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An anal fistula generally originates from a perianal abscess, which is an infection focus formed near the anal sinuses in the local area of the anus. During its onset, there is obvious local redness, swelling, heat, and pain accompanied by the formation of a pus cavity containing pus. As the condition of the perianal abscess worsens, the local pus cavity will rupture and discharge pus, thus forming an anal fistula. After the rupture of a perianal abscess, its external opening cannot heal by itself, and there will be intermittent recurring discharge of pus. Therefore, it is necessary to carry out surgical treatment as soon as possible after the formation of an anal fistula, to prevent the enlargement of the local pus cavity or thickening of the fistula wall, which complicates later surgery and treatment and significantly impacts the patient's normal life.

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Written by Chen Tian Jing
Colorectal Surgery
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Should surgery be performed if there are no symptoms of anal fistula?

If an anal fistula is in its acute phase, the main clinical symptoms are intermittent discharge of pus from the external opening, or pain and itching. If there are no symptoms, and only the external and internal openings along with the fistula tract exist, surgery is still required because the absence of symptoms temporarily does not guarantee that an acute episode will not occur later. During an acute episode, there will be local tissue and skin inflammation, redness, heat, and severe pain. If an anal fistula is not surgically treated for a long time, it may lead to an increase in the number of branches of the fistula or thickening of the fistula wall, and it may even spread to the pelvic cavity. Therefore, once an anal fistula is discovered, it is necessary to perform surgery as soon as possible. Early treatment has significant benefits for wound recovery and the difficulty of the operation.

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Written by Chen Tian Jing
Colorectal Surgery
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Best treatment method for anal fistula abscess

The best treatment method for anal fistula and perianal abscess is surgical treatment, which is also the only curative method. Conservative treatment using drugs alone can only alleviate local inflammatory symptoms and cannot achieve complete cure. The main surgical method is the cutting and threading technique. This involves threading and ligating the infected area and the sphincter muscle. Through the slow cutting and drainage action of the ligature, the infection focus is removed while protecting the anal sphincter. Postoperatively, it is also important to pay attention to disinfecting and draining the local wound, ensuring proper dressing changes, and preventing poor drainage that could lead to infection or recurrence. It is advised that patients avoid spicy and irritating foods for the first six months after surgery.

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Colorectal Surgery
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What should I do about an anal fistula?

Anal fistula is a disease that occurs when repeated infections in the anal crypts extend to the surface of the skin around the anus. Once formed, there are typical fistula tracts with both internal and external openings. Simple anti-inflammatory drug treatments can only relieve the symptoms of inflammation during the acute phase of an anal fistula. For the fistula tracts themselves, these treatments do not completely cure the condition. It is recommended that patients with an anal fistula undergo a fistulotomy as soon as they are diagnosed. Through surgery, the fistula tract and its walls can be completely excised, completely removing the local lesion, thereby further accelerating the regrowth of fresh granulation tissue locally.

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Colorectal Surgery
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Can anal fistulas be left untreated?

If an explicit diagnosis of anal fistula is made, it cannot go untreated. If the anal fistula is localized around the anus but not actively treated and surgically removed, it is very likely to cause branching of the fistula tract or spread to the ischioanal fossa, as well as thickening of the fistula wall. This can exacerbate the symptoms of local infection, causing an increase in stabbing pain or purulent secretions. Prolonged, recurrent episodes of anal fistula may also lead to carcinogenic changes in the fistula wall due to inflammatory stimuli. Therefore, once an anal fistula is diagnosed, it is necessary to promptly undergo surgical treatment with fistulotomy and seton placement to prevent the condition from worsening and complicating later treatments.

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Written by Chen Tian Jing
Colorectal Surgery
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What should be paid attention to for anal fistula?

Patients with anal fistula, as there is an external opening in the anal region and intermittent thick secretion from this opening, should first ensure to keep the perianal area clean. It is recommended to change underwear daily and to cleanse the area after bowel movements with saline or hemorrhoid wash, and to conduct fumigation and hot compresses around the perianal area and the external opening to prevent irritation and even sharp pain caused by residual feces and secretions. Furthermore, during acute episodes of anal fistula, mupirocin ointment can be applied around the external opening for anti-inflammatory treatment. The definitive surgery for anal fistula primarily involves fistulotomy with seton placement. Without surgery, an anal fistula cannot be completely cured and may lead to worsened conditions such as thickening of the fistula wall or increased branching of the fistula channels.